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[Lower urinary tract dysfunction and herniated disk].

V Bonniaud1, B Paratte, L Tatu

  • 1Service de Médecine Physique et de Réadaptation, Centre hospitalo-universitaire de Dijon, France. vbonniaud@hotmail.com

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|July 12, 2007
PubMed
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Herniated disks can cause lower urinary tract dysfunction, sometimes as the only symptom. Urodynamic assessment is crucial for diagnosis and long-term management of urinary issues related to herniated disks.

Area of Science:

  • Neurology
  • Urology

Context:

  • Lower urinary tract dysfunction (LUTD) presents diagnostic challenges when associated with herniated disks.
  • Two primary clinical scenarios involve LUTD secondary to herniated disk: cauda equina syndrome or isolated urinary symptoms.

Purpose:

  • To review the diagnostic and management complexities of LUTD in patients with herniated disks.
  • To emphasize the role of urodynamic assessment in characterizing LUTD and guiding surveillance.

Summary:

  • Herniated disks can lead to significant lower urinary tract dysfunction.
  • This dysfunction may manifest as part of cauda equina syndrome or as an isolated neurological sign.
  • Urodynamic studies are vital for accurate diagnosis and planning long-term patient management, irrespective of other neurological findings.

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Impact:

  • Highlights the importance of considering herniated disks in cases of unexplained LUTD.
  • Underscores the necessity of urodynamic evaluation for effective patient care and prognosis.
  • Provides a framework for managing complex urological complications of spinal disorders.